Mental Health Block ck Grant Behavioral Health Division MH MHBG - - PowerPoint PPT Presentation

Mental Health Block ck Grant

Behavioral Health Division

MH MHBG BG P Purp rpos

• se
• (1) providing community mental health services for adults with a

serious mental illness and children with a serious emotional disturbance;

• (2) carrying out the plan submitted under section 300x–1(a) of this

title by the State for the fiscal year involved;

• (3) evaluating programs and services carried out under the plan; and
• (4) planning, administration, and educational activities related to

providing services under the plan.

Ta Targeted Populations

• Adults with serious mental illnesses. Includes persons age 18 and older

who have a diagnosable behavioral, mental, or emotional condition—as defined by the Psychiatric Association’s Diagnostic and Statistical Manual (DSM) of Mental Disorders. Their condition substantially interferes with, or limits, one or more major life activities, such as:

• Basic daily living (for example, eating or dressing)
• Instrumental living (for example, taking prescribed medications or getting around the

community)

• Participating in a family, school, or workplace
• Children with serious emotional disturbances. Includes persons up to age

18 who have a diagnosable behavioral, mental, or emotional issue (as defined by the DSM). This condition results in a functional impairment that substantially interferes with, or limits, a child’s role or functioning in family, school, or community activities.

Re Reporting Re Requirements

• State Agency Expenditure Reports - In this section states should provide information

regarding expenditures for authorized activities and services for mental health.

• Populations and Services Report - In this section states must provide specific

information regarding the number of individuals served with MHBG funds. In addition states should provide specific information regarding the services these individuals received.

• Performance Indicators and Accomplishments - In this section of the report states

are required to complete the Performance Indicator tables. Performance indicators should be reported using the table format provided. The purpose of the performance indicator tables is to show progress made over time as measured by SAMHSA’s National Outcome Measures (NOMS) for mental health services including any state-selected performance indicators.

MH MHBG BG R Requireme ments

• 10% set aside for First Episode Psychosis Programs
• Behavioral Health Planning Council

MH MHBG BG A Awards

2016

$879,581

2017

$939,644

2018

$1,260,569

2019

Unknown

2018 YTD Expenditure $3,128.22

2017-2019 Biennium MHBG Funding*

*funding approved by BHPC

Budget Item Percentage of Total Partnerships Program (Human Service Center) 21% Peer Support 18% Prevention/Promotion Services 16% First Episode Psychosis Pilot Program 10% Consumer Advocacy Groups 9% Mental Health Criminal Justice Reform 7% Workforce Training 5% Administration 5% Early Intervention/Screening Pilot Program 3% Aging and Mental Health 3% Planning Council 3%

Utilizing the recommendations from the Behavioral Health Planning Council to “[confront] the stigma that prevents our North Dakota citizens from getting the care they need…[and] to improve access to behavioral healthcare and overall wellness for the citizens”, the HSRI report, and the North Dakota 20/20 Vision Goal Matrix the Behavioral Health Division suggests the following use of MHBG funds.

2017-2019 BHPC Recommendation Program/ Service HSRI Recommendation North Dakota Vision 20/20 Goal Matrix

Recommendation 1: Fund a comprehensive approach to behavioral health with an implementation of the full continuum

• f care model.

All Proposed Budget Items 1- Develop a comprehensive implementation plan 13-Conduct ongoing, system-wide data- driven monitoring of needs and access

12.2-Identify a standard set of data elements to collect from contracted providers that aligns with state data systems and goals for the behavioral health system

2017-2019 BHPC Recommendation Program/ Service HSRI Recommendation North Dakota Vision 20/20 Goal Matrix

2a: Fund peer support services statewide with a goal to ensure that any individual receiving case management has access to peer support services.

Peer Support 7.6- Continue establishing training/credentialing programs for peer services 7.8- Support a robust peer workforce through training, professional development, competitive wage

6.9- Establish a formalized training and certification process for peer support specialists 9.8-Include dedicated trainings and sessions at the State Behavioral Health Conference related to peer-run

• rganizations

11.3-Establish peer services as a reimbursed service in the Medicaid state plan

2017-2019 BHPC Recommendation Program/ Service HSRI Recommendation North Dakota Vision 20/20 Goal Matrix

2c: Expand crisis intervention services including mobile crisis units statewide, peer supports within crisis intervention services, additional crisis residential beds, and less reliance on hospitals to perform these services.

Suicide and Crisis Services

3.3 Ensure continuum of timely and accessible crisis response services 4.8 Promote timely linkage to community based services following a crisis 1.6 Implement Zero Suicide statewide 2.10 Expand the implementation of activities to prevent the attempt and completion of suicide, including crisis services 2.6 Expand telebehavioral health crisis services statewide, including services for children and youth 2.8, 2.9 Expand mobile crisis teams for adults in urban areas statewide, establish teams for children and youth

2017-2019 BHPC Recommendation Program/

Service

HSRI Recommendation North Dakota Vision 20/20 Goal Matrix

Recommendation 4: Department of Human Services shall create

• pportunities to strengthen

advocacy voices to assist in making system change as identified in the Behavioral Health Planning Report by Schulte Consulting July 22, 2014. Consumer Advocacy Groups Workforce/ Behavioral Health Conference 10- Encourage and support the efforts of communities to promote high-quality services 10.2 Strengthen Advocacy 10.4 Support Community Efforts to reduce stigma, discriminations, marginalization

9.2- Foster the development of community coalitions to advocate for wellness promotion and prevention in their communities 9.3- Review existing behavioral health related advisory boards and committees to explore opportunities to increase the membership of people with lived experience 9.6- Include dedicated training and session at the State Behavioral Health Conference related to advocacy skills and partnerships with advocacy communities 9.7- Forster connection to national advocacy movements by supporting travel and attendance at national conferences and at virtual advocacy networks 9.8-Include dedicated trainings and sessions at the State Behavioral Health Conference related to peer-run organizations 9.10- Convene local communities to identify and share best practice about community-driven initiatives that reduce discrimination and marginalization of people with psychiatric disorders

2017-2019 BHPC Recommendation Program HSRI Recommendation North Dakota Vision 20/20 Goal Matrix Recommendation 9: Ensure Evidence- Based or promising practices are provided with high fidelity quality assurances.

Partnership Program

2.1 Prioritize and implement evidence-based social and emotional wellness initiatives 3- Ensure North Dakotans have timely access to behavioral health services 4.2- Continue to shift funding toward evidence- based and promising practices 5.2- Expand targeted, proactive in-home supports for at-risk families

4.3-Expand culturally-responsive, evidence-based, multi- systemic therapy services for children and families involved in multiple systems 4.4-Expand culturally-responsive, evidence-based wraparound services for children and families involved in multiple systems 4.6-Expand in-home community supports for children, youth, and families, including family skills training and family peers

2017-2019 BHPC Recommendation Program HSRI Recommendation North Dakota Vision 20/20 Goal Matrix Recommendation 9: Ensure Evidence- Based or promising practices are provided with high fidelity quality assurances.

Evidence Based Social and Emotional Wellness Programs First Episode Psychosis Aging and Mental Health

2.1- Prioritize and implement evidence-based social and emotional wellness initiatives 2.5- Expand evidence-based services for first-episode psychosis 3- Ensure North Dakotans have timely access to behavioral health services 4.2- Continue to shift funding toward evidence- based and promising practices

1.14- Expand evidence-based services for first-episode psychosis 2.5-Ensure Qualified Service Providers and HCBS Case managers who work with older adults and people with physical disabilities receive basic and ongoing trainings in behavioral health, including confronting misperceptions about the population 3.2-Conduct review of behavioral health services to identify "legacy" services that are not sufficiently evidence-based 3.3- Expand evidence-based team-based services such as Assertive Community Treatment (ACT) 3.15-Expand evidence-based supported education and employment

2017-2019 BHPC Recommendation Program HSRI Recommendation North Dakota Vision 20/20 Goal Matrix

Recommendation 10: State agencies must be provided with state training to increase military cultural competency (how to communicate with veterans

• r those who have served).

This training should also be made available to any providers of behavioral health services including private providers.

Workforce/ Behavioral Health Conference

7- Engage in targeted efforts to recruit/train competent behavioral health workforce 9- Ensure the system reflects its values of person- centeredness, cultural competence, trauma- informed approaches 9.6 Implement additional training 9.7 Develop/promote safe spaces for LGBTQ individuals within the behavioral health system 3.10- Ensure the primary care workforce receives basic and ongoing trainings in behavioral health, including confronting misperceptions about the population 5.4- Implement Crisis Intervention Team training for all law enforcement

• fficers and emergency medical responders statewide, with e-learning
• ptions for those in rural areas

8- Person-Centered, Trauma-Informed, and Culturally/Linguistically Competent Approaches 8.8- In partnership with tribal nations and local communities, create an

• ngoing training program for all behavioral health professionals that

includes modules on American Indian history and culture, health equity, and other areas identified in the statewide cultural and linguistic competence plan 8.9- Create an ongoing training program for all behavioral health professionals on best practice in working with veterans and military service members and their families